Minnesota Wheel

Question 1

PHN Interventions

Answer 1

• Actions that PHNs take on behalf of individuals, families, systems, communities to improve or protect health status
• Defined by type of intervention and level of practice

Question 2

Components of PHN Intervention Model

Answer 2

• Population-based
• Intervene at all 3 levels of practice: Individual, community, or systems-focused
• 17 interventions

Question 3

What are the components of population-based practice?

Answer 3

• Focused on entire population
• Grounded in assessment of population’s health status
• Considers broad determinants of health
• Emphasizes all levels of prevention (especially primary)
• Intervenes with communities, systems, individuals, and families

Question 4

What is the difference btw population of interest and population at risk?

Answer 4

• Population of interest: group of people you want to know more about (ex. senior citizens)
• Population at risk: group of people exposed to or with a certain factor (ex. senior citizens with HTN)

Question 5

What are the 3 levels of PHN practice?

Answer 5

• Individual-focused: changes in knowledge, attitudes, beliefs, practices, and behaviors of individuals
• Community-focused: changes in community norms, attitudes, awareness, practices, behavior
• Systems-focused: changes in organizations, policies, laws, power structures (often more effective and long-lasting way to impact population health)

Question 6

Exceptions to 3 levels of practice

Answer 6

• Case finding: only occurs at individual level

- Community organizing and coalition building: cannot occur at the individual level, only at community/system level

Question 7

Structure of Minnesota Wheel

Answer 7

• Grouped together by similarities
• Right side: primarily individual, families, groups
• Left side: primarily systems and communities
• Usually work in more than one wedge at a time

Question 8

Purple section of wheel

Answer 8

• Surveillance: describe and monitor health events
• Investigation: gather and analyze data regarding threats to the health of pop
• Outreach: locates pop of interest or risk
• Screening: identify individuals with risk factors or disease conditions
• CASE FINDING OCCURS at individual level of these

Question 9

Green section of wheel

Answer 9

• Referral and follow up: assist people to identify and access necessary resources
• Case management: optimize self-care capabilities of individuals and families
• Delegated functions: direct care tasks carried out by RN

Question 10

Blue section of wheel

Answer 10

• Health teaching: communicates facts, ideas, skills
• Counseling: establishes interpersonal relationship at the emotional level
• Consultation: seeks information and generates optimal solutions to perceived problems

Question 11

Orange section of wheel

Answer 11

• Collaboration: commits 2+ persons/organizations to achieve a common goal
• Coalition building: develops alliances among organizations for a common purpose
• Community organizing: helps community groups to identify common problems and meet goals

Question 12

Yellow section of wheel

Answer 12

• Advocacy: pleads someone’s cause or act on someone’s behalf, with a focus on developing the capacity or community/system/individual/family
• Social marketing: utilizes commercial marketing principles to influence knowledge and practices
• Policy development and enforcement: places health issues on agendas, results in laws and compels others to comply with them